Please print off the following form and post it to us with your cheque or money order and we will respond to your application as soon as practicable.
I, .......................................................................................
of ......................................................................................
...........................................................................................
Occupation: ...................................................................
Phone: .................................................. Fax: ......................................................
E-mail: .................................................
desire to become a member of The Samuel Griffith Society.
In the event of my admission as a member, I agree to be bound by the rules of the Society for the time being in force.
Signature of Applicant:........................................................................... Date:......................................
My cheque/money order is enclosed for $ ....................... (Joining Fee plus Annual Sub)
(Joining Fee: $20; Annual Sub $75)
(Bona fide Students: Annual Sub $25---Joining Fee waived)
The Samuel Griffith Society
928 North East Road
Modbury SA 5092